Mitundu yamankhwala othandizira mahomoni

Hormone therapy (HT) imagwiritsa ntchito mahomoni amodzi kapena angapo kuti athetse vuto lakutha. HT imagwiritsa ntchito estrogen, progestin (mtundu wa progesterone), kapena zonsezi. Nthawi zina testosterone imawonjezedwanso.

Zizindikiro za kusamba ndizo:

• Kutentha kotentha
• Kutuluka thukuta usiku
• Mavuto ogona
• Kuuma kwa nyini
• Nkhawa
• Khalidwe labwino
• Chidwi chochepa pa kugonana

Mukatha kusamba, thupi lanu limasiya kupanga estrogen ndi progesterone. HT imatha kuthana ndi zovuta zakusamba zomwe zimakusowetsani mtendere.

HT ili ndi zoopsa zina. Ikhoza kuwonjezera chiopsezo chanu cha:

• Kuundana kwamagazi
• Khansa ya m'mawere
• Matenda a mtima
• Sitiroko
• Miyala

Ngakhale zili ndi nkhawa izi, kwa azimayi ambiri, HT ndi njira yabwino yochizira matenda osamba.

Pakadali pano, akatswiri sakudziwa kuti muyenera kutenga nthawi yayitali bwanji HT. Magulu ena akatswiri amati mutha kutenga HT pazizindikiro zakutha kwa nthawi yayitali ngati palibe chifukwa chamankhwala chosiya mankhwala. Kwa amayi ambiri, kuchepa kwa HT kumatha kukhala kokwanira kuthana ndi zovuta. Mankhwala ochepa a HT amakhala ndi zovuta zochepa. Izi ndi zovuta kukambirana ndi omwe amakuthandizani pa zaumoyo.

HT imabwera m'njira zosiyanasiyana. Mungafunike kuyesa mitundu ingapo musanapeze yomwe ingakuthandizeni kwambiri.

Estrogen amabwera:

• Kutulutsa m'mphuno
• Mapiritsi kapena mapiritsi, otengedwa pakamwa
• Gel osakaniza khungu
• Magamba achikopa, opakidwa pa ntchafu kapena m'mimba
• Mafuta opangira ukazi kapena mapiritsi okhudzana ndi ukazi othandizira kuuma ndi kupweteka pogonana
• Mphete ya ukazi

Amayi ambiri omwe amatenga estrogen komanso omwe ali ndi chiberekero chawo amafunikanso kumwa progestin. Kutenga mahomoni onse awiri kumachepetsa chiopsezo cha khansa ya endometrial (uterine). Amayi omwe adachotsedwa chiberekero chawo sangatenge khansa ya endometrial. Chifukwa chake, estrogen yokha imalimbikitsidwa kwa iwo.

Progesterone kapena progestin imabwera:

• Mapiritsi
• Magamba achikopa
• Mafuta a ukazi
• Makandulo opatsirana ukazi
• Chipangizo cha intrauterine kapena dongosolo la intrauterine

Mtundu wa HT omwe dokotala wanu akukulemberani ungadalire zomwe muli ndi vuto lakutha msambo. Mwachitsanzo, mapiritsi kapena zigamba zimatha kutulutsa thukuta usiku. Mphete, ukazi, mapiritsi, kapena mapiritsi amathandiza kuchepetsa kuuma kwa nyini.

Kambiranani zaubwino ndi zoopsa za HT ndi omwe amakupatsani.

Mukatenga estrogen ndi progesterone palimodzi, dokotala wanu atha kunena chimodzi mwazinthu izi:

Chithandizo cha mahomoni ozungulira nthawi zambiri amalimbikitsidwa mukayamba kusamba.

• Mumamwa estrogen ngati piritsi kapena mumagwiritsa ntchito mawonekedwe a masiku 25.
• Progestin imawonjezedwa pakati pa masiku 10 ndi 14.
• Mumagwiritsa ntchito estrogen ndi progestin limodzi masiku 25 otsala.
• Simutenga mahomoni aliwonse masiku 3 mpaka 5.
• Mutha kukhala ndi magazi pamwezi ndi cyclic therapy.

Kuphatikiza mankhwala ndipamene mumamwa estrogen ndi progestin limodzi tsiku lililonse.

• Mutha kukhala ndi magazi osazolowereka mukamayamba kapena kusintha ndandanda iyi ya HT.
• Amayi ambiri amasiya kutaya magazi pasanathe chaka chimodzi.

Dokotala wanu angakupatseni mankhwala ena ngati muli ndi zizindikiro zoyipa kapena muli pachiwopsezo chachikulu cha kufooka kwa mafupa. Mwachitsanzo, mungathenso kutenga testosterone, mahomoni achimuna, kuti mukwaniritse zomwe mumakonda kugonana.

HT ikhoza kukhala ndi zotsatirapo, kuphatikiza:

• Kuphulika
• Kupweteka kwa m'mawere
• Kupweteka mutu
• Maganizo amasintha
• Nseru
• Kusunga madzi
• Kutuluka magazi mosakhazikika

Uzani dokotala wanu mukawona zovuta. Kusintha mlingo kapena mtundu wa HT womwe mumatenga kungathandize kuchepetsa zotsatirazi. MUSASINTHE mlingo wanu kapena kusiya kumwa HT musanalankhule ndi dokotala.

Ngati muli ndi magazi ukazi kapena zizindikiro zina zachilendo pa HT, itanani dokotala wanu.

Onetsetsani kuti mupitilize kukaonana ndi dokotala wanu nthawi zonse mukamamwa HT.

Mitundu ya HRT; Estrogen m'malo mankhwala - mitundu; Mitundu ya ERT- mitundu yamankhwala; Timadzi m'malo mankhwala - mitundu; Kusamba - mitundu ya mankhwala a mahomoni; Mitundu ya HT; Mitundu ya mahomoni a Menopausal

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• Thandizo Lobwezeretsa Hormone
• Kusamba